Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $84.10 / $223.00	Facility		$84.10	$84.10	$223.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $84.10 / $93.16	Professional		$76.31	$84.10	$93.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $117.43 / $117.43	Professional		$117.43	$117.43	$117.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $172.23 / $446.22	Facility		$147.02	$172.23	$446.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $82.10 / $205.73	Professional		$76.39	$82.10	$205.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.43 / $156.57 / $215.34	Facility		$117.43	$156.57	$215.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $146.43 / $335.25	Professional		$103.91	$146.43	$335.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $187.33	Facility		$85.16	$85.16	$187.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $199.45	Professional		$62.17	$62.17	$199.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $85.16	Professional		$62.17	$85.16	$85.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $91.33 / $119.73	Professional		$66.42	$91.33	$119.73
United Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $73.65 / $104.04	Professional		$48.64	$73.65	$104.04